scholarly journals Evaluation of Sutureless, Glueless, Flapless, Intrascleral Fixated Posterior Chamber Intraocular Lens in Children with Ectopia Lentis

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Kannan NB ◽  
Piyush Kohli ◽  
Bhanu Pratap Singh Pangtey ◽  
Kim Ramasamy
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Pediatric Population ◽  
Intraoperative Complications ◽  
Vitreous Hemorrhage ◽  
Posterior Chamber ◽  
Ectopia Lentis ◽  
Uncorrected Visual Acuity ◽  
Posterior Chamber Intraocular Lens

Aim. This paper aims at evaluating refractive outcome and complication profile of sutureless, glueless, flapless, intrascleral fixation of intraocular lens (SFIOL) in pediatric population. Methods. This retrospective study included patients ≤18 years of age who underwent SFIOL for ectopia lentis. Details obtained included preoperative uncorrected visual acuity (UCVA), cycloplegic refraction, and best-corrected visual acuity (BCVA); intraoperative complications; and postoperative UCVA, cycloplegic refraction, and BCVA and complications. Results. Median pre- and postoperative UCVA was logMAR 1.78 (Snellen 20/1200) and logMAR 0.30 (Snellen 20/40), respectively, (p<0.001). Median pre- and postoperative BCVA was logMAR 0.24 (Snellen 20/34) and logMAR 0.18 (Snellen 20/30), respectively. UCVA ≥20/60 was attained in 90% of eyes. BCVA ≥20/30 was attained in 85.0% of eyes. Most common early postoperative complications were hyphaema (10%), transient vitreous hemorrhage (2.5%), and ocular hypotony (2.5%). None of these developed any long-term sequelae. Only one case of subluxation of IOL was seen. No case of late endophthalmitis or retinal detachment was seen. Conclusion. Since refractive error induced is minimal, the procedure is suitable for IOL implantation in children, who are noncompliant with spectacles. The complication profile is similar to that reported in adults.

scholarly journals EVALUATION OF COMPLICATIONS OF PHACOEMULSIFICATION WITH PCIOL IMPLANTATION SURGERY

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Angli Manhas ◽  
Rameshwar S Manhas ◽  
Gaurav S Manhas ◽  
Dinesh Gupta
Keyword(s):  
Visual Acuity ◽  
Postoperative Complications ◽  
Intraocular Lens ◽  
Intraoperative Complications ◽  
Operating Time ◽  
Visual Outcome ◽  
Posterior Chamber ◽  
Extracapsular Cataract Extraction ◽  
Age Group ◽  
Posterior Chamber Intraocular Lens

Background: Phacoemulsification is a state of the art surgery for cata­ract removal. From the simple procedure of couching practiced by sushruta to latest method of phaco emulsification of Charles kelman, cataract surgery had undergone a tremendous metamorphosis. Phacoemulsification is one of the most successful surgical procedures performed, and its popularity is due to decreased operating time and a shorter postoperative healing period. The objective of the study was to evaluate intraoperative and postoperative complications of phacoemulsification with PCIOL implantation surgery. Materials & Methods: The present prospective study was conducted over a period of 6 months on patients having visually significant cataract that presented to or were referred to ophthalmology Department, GMCH, Jammu and after getting admission underwent planned extracapsular cataract extraction by phacoemulsification with posterior chamber intraocular lens ( PCIOL) implantation. After meeting inclusion & exclusion crieteria all the patients underwent complete examination as history, ocular examination, systemic examination and laboratory tests like haemoglobin etc. Results: Out of 200, maximum numbers of patients were in age group of 41-50 i.e. 90 followed by 82 patients in 51-60yrs age group. Males were 112.Total of 148 patients were from urban area. Best corrected preoperative visual acuity of ≤6/36 was seen in 102 patients whereas 6th week postoperatively only 7 patients had visual acuity of ≤6/36. The final 6th week postoperative best corrected visual acuity of 6/12- 6/6 was found in 171 patients. Among intraoperative complications hyphaema & constriction of pupil each were seen in 2 patients, followed by posterior capsule rent in 3 patients only while postoperatively mild uveitis was seen in 30 followed by striate keratopathy in 12 patients. Conclusion: From present study, we may conclude that phacoemulsification with posterior chamber intraocular lens implantation is a good surgical tecqinique for cataract which can be performed safely with good visual outcome, with few intraoperative and postoperative complications in expert hands. Keywords: Phacoemulsification , visual outcome, complications

Long-Term Stability of Sutured Scleral Fixation of a Posterior Chamber Intraocular Lens With 10-0 Polypropylene for More Than 30 Years

2021 ◽  
pp. 247412642097887
Author(s):  
Gregg T. Kokame ◽  
Tarin T. Tanji ◽  
Jase N. Omizo
Keyword(s):  
Intraocular Lens ◽  
Posterior Chamber ◽  
Scleral Flap ◽  
Scleral Fixation ◽  
Polypropylene Suture ◽  
Long Term Stability ◽  
Posterior Chamber Intraocular Lens ◽  
Polypropylene Sutures

Purpose: We report the longest follow-up to our knowledge of stable scleral fixation of a posterior chamber intraocular lens (PC IOL) with 10-0 polypropylene sutures. Methods: A retrospective review is presented of a case with more than 30 years’ follow-up after performing sutured scleral fixation with 10-0 polypropylene suture using 2 sutures tied together under a scleral flap. One suture was a cow-hitch looped around the haptic, and the other suture was passed through the sclera to create the scleral fixation. Results: The scleral fixation with 10-0 polypropylene suture knots for both haptics of the PC IOL allowed central optic positioning with excellent vision for more than 30 years without suture breakage. Conclusions: Polypropylene sutures for scleral fixation of PC IOLs remained stable for more than 30 years with central positioning of the PC IOL, without exposure of the fixation suture knots through the conjunctiva, and without suture breakage.

scholarly journals Intra-ocular lens opacification in the anterior chamber leading to loss of vision in an adolescent

2014 ◽  
Vol 6 (1) ◽  
pp. 102-104
Author(s):  
Mrindu Chaudhry ◽  
Keerti Mundey ◽  
Shikha Baisakhiya ◽  
Sumita Sethi
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Rare Case ◽  
Intraocular Inflammation ◽  
Posterior Chamber ◽  
Ocular Lens ◽  
Posterior Chamber Intraocular Lens ◽  
Developmental Cataract ◽  
Posterior Chamber Iol

Objective: To report a rare case of intraocular lens (ACIOL) opacification in the anterior chamber in an adolescent and to discuss the possible mechanism of its occurrence and the ways of its prevention. Case: A 16-year-old male underwent cataract surgery for developmental cataract with placement of a foldable posterior chamber IOL in the anterior chamber. There was subsequent opacification of the IOL, which was replaced by a scleral fixated posterior chamber intraocular lens. The post-operative visual acuity improved to 6/18. Conclusion: The posterior chamber IOL implanted in the anterior chamber can get opacified possibly due to postoperative intraocular inflammation. DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10780   Nepal J Ophthalmol 2014; 6 (2): 102-104

scholarly journals Corneal Cross-linking in Patients Younger than 18 Years: Long-term Follow-up in Three Israeli Medical Centers

2014 ◽  
Vol 3 (2) ◽  
pp. 84-87
Author(s):  
David Zadok ◽  
Isaac Avni ◽  
Erez Bakshi ◽  
Irina S Barequet ◽  
Isaac Aizenman ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Pediatric Population ◽  
Cross Linking ◽  
Safe Procedure ◽  
Medical Centers ◽  
Manifest Refraction ◽  
Uncorrected Visual Acuity ◽  
Long Term Follow Up

ABSTRACT Purpose To report refractive, topographic and safety outcomes of corneal cross-linking (CXL) in patients younger than 18 years of age with progressive keratoconus. Materials and methods In this retrospective study, we enrolled 31 eyes of 21 children aged 11 to 17 years that underwent corneal riboflavin-ultraviolet A induced CXL due to progressive keratoconus at three different ophthalmology departments in Israel. They were followed for 3 to 48 months (average 23 ± 13.6 months). Evaluated parameters were uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), manifest refraction, pachymetry, slit- lamp examination and corneal topography at baseline and at 1,3,6,12,24 and 48 months. Results We found a nonsignificant improvement in UCVA and BSCVA with a small reduction of manifest cylinder and no significant change in spherical equivalent or K-values. Following CXL, stability of UCVA and BSCVA at the last follow-up examination was found in 71 and 77% of treated eyes, respectively. No permanent adverse events have been recorded throughout the study period. Conclusion In our series, CXL was a safe procedure in the pediatric population. Stabilization of progressive keratoconus was achieved in visual acuity, refractive and topography parameters with no improvement in corneal indices in contrary to adult CXL treatment. How to cite this article Bakshi E, Barequet IS, Aizenman I, Levinger S, Avni I, Zadok D. Corneal Corss-linking in Patients Younger than 18 Years: Long-term Follow-up in Three Israeli Medical Centers. Int J Kerat Ect Cor Dis 2014;3(2):84-87.

Long-term observation of the refraction with a reversed-optic posterior chamber intraocular lens

2004 ◽  
Vol 30 (5) ◽  
pp. 1133-1135 ◽  
Author(s):  
Yoshiaki Nawa ◽  
Hideyuki Tsuji ◽  
Tetsuo Ueda ◽  
Masahiro Okamoto ◽  
Masashi Kojima ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Posterior Chamber ◽  
Posterior Chamber Intraocular Lens ◽  
Long Term Observation

scholarly journals Novel Technique to Overcome the Nonavailability of a Long Needle 9-0 Polypropylene Suture for Sutured Scleral Fixation of the Posterior Chamber Intraocular Lens Using a Single Fisherman’s Knot

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Yong Un Shin ◽  
Mincheol Seong ◽  
Hee Yoon Cho ◽  
Min Ho Kang
Keyword(s):  
Intraocular Lens ◽  
Posterior Chamber ◽  
Intraoperative Complication ◽  
Scleral Fixation ◽  
Polypropylene Suture ◽  
Endothelial Cell Count ◽  
Intraocular Hemorrhage ◽  
Posterior Chamber Intraocular Lens ◽  
Iol Dislocation

Purpose. To describe a method to overcome the nonavailability of a long needle 9-0 polypropylene suture for sutured scleral fixation of the posterior chamber intraocular lens (PC-IOL) using a single fisherman’s knot (SFK). Methods. First, a 10-0 polypropylene suture was passed from the sclera to the ciliary sulcus using a long needle. A 9-0 suture was tied to the unpassed portion of the 10-0 suture with an SFK. We pulled the 10-0 suture to pass the SFK through the sclera, and then we cut the knot and removed the 10-0 suture. IOL fixation with 9-0 sutures used the conventional techniques used for sutured scleral-fixated IOL. Preoperative and postoperative visual acuity, corneal astigmatism, and endothelial cell count and intraoperative/postoperative complications were evaluated. Results. An SFK joining the two sutures was passed through the sclera without breakage or slippage. A total of 35 eyes from 35 patients who underwent sutured scleral fixation of the IOL. An intraoperative complication (minor intraocular hemorrhage) was recorded in four cases. Knot exposure, IOL dislocation, subluxation, and retinal detachment were not observed. Conclusions. The SFK offers the opportunity to use 9-0 sutures for the long-term safety and may not require the surgeon to learn any new technique.

scholarly journals Two-stage treatment of ametropia in patients with keratoconus and cataracts

2021 ◽  
Vol 6 (6-1) ◽  
pp. 204-213
Author(s):  
M. M. Bikbov ◽  
O. I. Orenburkina ◽  
A. E. Babushkin ◽  
I. F. Nuriev
Keyword(s):  
Visual Acuity ◽  
Rotational Stability ◽  
Posterior Chamber ◽  
Two Stage ◽  
Intrastromal Corneal Ring ◽  
Uncorrected Visual Acuity ◽  
Posterior Chamber Intraocular Lens ◽  
The Russian Federation ◽  
Stage 1

Keratoconus (KC) is a progressive degenerative corneal disease, leads to the aberration of biomechanical and optical properties and thinning of the cornea, causes astigmatism and decreases visual acuity.Materials and methods. 33 patients (35 eyes) with stages II–III of non-progressive keratoconus and concomitant cataracts of various stages of maturity were operated on. The average age of the patients was 46.5 ± 2.7 (41–63) years old. The operations were performed according to our proposed two-stage method of treating ametropia in patients with KC and cataracts (Patent of the Russian Federation No. 2748634 of 28.05.2021). The first stage was the implantation of FERRARA intrastromal corneal ring segments (ICRS) with thickness from 150 to 350 μm. To correct residual refractive error in 5–7 months after stage 1, patients underwent stage 2: cloudy lens was removed and replaced with toric posterior chamber intraocular lens (TIOL) – AcrySof IQ Toric (Alcon, USA), T-fl ex Toric RayOne (Rayner, UK).Results and discussion. After stage 1 of the operation (ICRS implantation), the uncorrected visual acuity (NCVA) was 0.2 ± 0.03, the best corrected visual acuity (BCVA) was 0.4 ± 0.02. In 1 month after stage 2 (phacoemulsifi cation + TIOL) NCVA was 0.64 ± 0.11 and BCVA was 0.74 ± 0.12. During the entire follow-up period after the surgery visual functions, refraction, and rotational stability of TIOL were stable.Conclusions. Conducting a two-stage surgical intervention in patients with keratoconus and cataracts allows to stop the progression of the disease and effectively correct the ametropia concomitant with keratoconus.

Sign in / Sign up

Export Citation Format

Share Document